How can diabetes affect my sex life?

Erectile dysfunction is very common in men with diabetes and pre-diabetes and results mostly from poor blood flow to the penis. High blood pressure and elevated cholesterol, which many people with diabetes have, may be additional culprits. There may also be damage to the nerves that affect erections caused by neuropathy. Men with diabetes also have a higher likelihood of a low testosterone level, which may contribute to poor erections and a loss of interest in sex.

About half of all adults with diabetes are likely to develop some form of diabetes-related sexual complication. Men may have erectile dysfunction, premature ejaculation, and low testosterone. Women may experience vaginal dryness, low sex drive, and painful intercourse. Keeping your A1c (a measure of blood sugar levels over time) at a healthy level, lowering your blood pressure, getting regular exercise, and quitting smoking can help improve sexual function. Strengthening your relationship with your partner by talking to a licensed therapist or counselor may also improve your sex life.

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